Acute transverse myelitis in COVID-19 infection

Chian Chiang Nicholas Chow*, John Magnussen, Jerome Ip, Yuen Su

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

45 Citations (Scopus)
12 Downloads (Pure)


A 60-year-old man presented to hospital with bilateral lower limb weakness, urinary retention and constipation. He had been diagnosed with COVID-19 10 days prior. Clinical examination revealed global weakness, increased tone, hyperreflexia and patchy paresthesia in his lower limbs bilaterally. Preliminary blood tests performed revealed a mildly elevated C reactive protein and erythrocyte sedimentation rate but was otherwise unremarkable. MRI scan of his whole spine demonstrated hyperintense T2 signal centrally from T7 to T10, suggestive of acute transverse myelitis. A lumbar puncture showed elevated protein count but normal glucose and white blood cell count. Serological testing for other viruses was negative. His neurological symptoms improved significantly after treatment with intravenous methylprednisone. This case highlights a potential neurological complication of COVID-19 infection.

Original languageEnglish
Article numbere236720
Pages (from-to)1-4
Number of pages4
JournalBMJ Case Reports
Issue number8
Publication statusPublished - 11 Aug 2020
Externally publishedYes

Bibliographical note

Copyright the Publisher 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • emergency medicine
  • infectious diseases
  • neurology


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